van der Vet A P, Quaedvlieg M, Greve L H
Department of Pulmonology, University Hospital Maastricht, The Netherlands.
Int J Clin Pharmacol Ther Toxicol. 1988 May;26(5):258-64.
In a group of 18 patients with a so-called "morning dip", one single dose of theophylline was administered at 10:00 p.m. by means of a sustained release formulation (Theodur Retard). The dosage of theophylline was adjusted according to the complaints of the patients. Plasma theophylline levels were determined at 10:00 a.m. to prevent theophylline intoxications. The results were objectivated by measuring the PEFR twice/day. When the optimal dosage was obtained, a once/day administration of Theodur Retard at 10:00 p.m. provided an improved peak flow in the early morning, less symptoms at night and a better quality of sleep.
在一组18例有所谓“晨降”现象的患者中,于晚上10点通过缓释制剂(茶喘平缓释片)给予单剂量的茶碱。根据患者的主诉调整茶碱剂量。上午10点测定血浆茶碱水平以预防茶碱中毒。通过每天测量两次呼气峰流速(PEFR)使结果客观化。当获得最佳剂量时,每天晚上10点服用一次茶喘平缓释片可使清晨的呼气峰流速提高,夜间症状减轻,睡眠质量改善。